Active NPI
Stephanie Thais Klotz, OTD, OTR/L
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1962247262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC019318
- Practice address
- 139 N 23Rd St Apt 324
Philadelphia, PA 19103-1671 - Phone
- (610) 392-7213
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC019318 | PA | Primary |
Addresses
Primary practice location
139 N 23Rd St Apt 324
Philadelphia, PA 19103-1671
Mailing address
139 N 23Rd St Apt 324
Philadelphia, PA 19103-1671
Phone (610) 392-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC019318 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1962247262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N 23RD ST APT 324",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031671",
"telephone_number": "610-392-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N 23RD ST APT 324",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031671",
"telephone_number": "610-392-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZ",
"first_name": "STEPHANIE",
"middle_name": "THAIS",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC019318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.